- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $18,197.01 / $33,884.42
| Facility | | $6,918.31 | $18,197.01 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $35,481.34
| Facility | | $19,054.61 | $28,840.32 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $31,622.78
| Facility | | $15,488.17 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $21,379.62 / $53,703.18
| Facility | | $12,022.64 | $21,379.62 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $19,054.61 / $30,902.95
| Facility | | $6,309.57 | $19,054.61 | $30,902.95 |